HomeMy WebLinkAboutPermit Electrical 1994-10-14
~
.
~
~
.-
SPRINGFIELD
The following project as submitiod has tho toll
zoning, and does not require specific land use
225 FIFTH STREET approval. . ELECTRICAL PERHIT APPLICATION
SPRINGFIELD, OREGON 97477 Zonino ~.O-
INSPECTION REQUEST:, 726-37D6?te /()-IU_6Lf City Job Number 94-'"/~//
OFFICE: 726-3759 - -, 7,
1. LOCATION OF INSTALLATIO~utho;izad Signature
:f$\"ItI c;ar.,.","",.-'"' looP U\<"..\At?1;~
LEGAL> DESCRIPTION
/) -e!!J 3~:2~...::::c:>_ &>.2 ~
, ,
JOB DESCRIPTION
~T"I2-<G 1'ih.L.- R-, -O,.J ~i b .J
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor
Z.(J-nCL\
Address -7.04 ..l~o-...J
City c;Jr~~
Expiration Date
Phone &!-2--I"1&-'7
l../1f 5
I Df Ii)
{o4Io/~
")/qf'
Supervisor License Number
Constr Contr. Number
Expiration Date
Signature of Supervising Electrician
/)I ~ SJrw..J
V
Owners Name M/,....~El::. c:;
D.
. ,Q;..A'~
Address
City Phone
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
---------------------------------------
DATE:
RECEIPT 11:
RECEIVED BY:
/P.y5"-~ Y
/~
__.....J."'--_ -
A(VI.(:OKPLETE FEE SCHEDULE BELOII
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
.'
Sum
Items Cost
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home or
Modular Dwelling
Service or Feeder $ 40.00
B. Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to' 1000 amps
Over 1000 amps/volts
Reconnect Only
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or'Feeders
Installation, Alteration or Relocation
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
$ 40.00
$ 55.00
$ 80.00
see liB" above
Branch Circuits
,.
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL '
40.00
'2..00
~ I.>-d
dr; ~., v3.)o